Active NPI
Laura Stirk, LICSW
- Clinical Social Worker
- Dartmouth, MA
National Provider Identifier
1063652170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113350
- Practice address
- 49 State Road
Nauset Building, Unit 104 C
Dartmouth, MA 02747 - Phone
- (568) 242-8109
- NPI assigned
- Mar 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113350 | MA | Primary |
Addresses
Primary practice location
49 State Road
Nauset Building, Unit 104 C
Dartmouth, MA 02747
Mailing address
49 State Road
Nauset Building, Unit 104 C
Dartmouth, MA 02747
Phone (856) 242-8109
Other practice location 1
72 E Dedham St
Boston, MA 02118-2315
Phone (617) 292-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110145427 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laurastirk@andreadifilippolicsw.com | Andrea DiFilippo, LICSW & Associates, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113350 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1063652170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 STATE ROAD",
"address_2": "NAUSET BUILDING, UNIT 104 C",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "856-242-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 STATE ROAD",
"address_2": "NAUSET BUILDING, UNIT 104 C",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "568-242-8109"
}
],
"practiceLocations": [
{
"address_1": "72 E Dedham St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182315",
"country_code": "US",
"telephone_number": "617-292-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIRK",
"first_name": "LAURA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2021-04-23",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110145427",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laurastirk@andreadifilippolicsw.com",
"affiliation": "Y",
"endpointDescription": "encrypted professional email",
"affiliationName": "Andrea DiFilippo, LICSW & Associates, INC",
"address_1": "119 Wareham Rd",
"city": "Marion",
"state": "MA",
"country_code": "US",
"postal_code": "027381178",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.